Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $107.15	Professional		$72.44	$72.44	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $151.36	Professional		$74.13	$89.13	$151.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $177.83	Professional		$141.25	$147.91	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $97.72 / $194.98	Professional		$9.77	$97.72	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $50.12 / $81.28	Facility		$6.61	$50.12	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $151.36	Professional		$54.95	$109.65	$151.36